| dc.description.abstract | Ministry of Health has adopted reporting rates as a measure for improving health service
delivery in terms of ensuring the health commodities and products supplied to the facilities
are reported accurately at the end of the month for proper planning. Uninterrupted health
commodity supply is determined by ensuring commodity reports are uploaded into District
Health Information System 2 platform which is a national system for consolidating
consumption data. It is this data that the national allocation committee uses to quantify and
project HIV test kits required by facilities on quarterly basis. The main objective of the study
was to assess the factors that influence reporting rates on HIV test kits in Meru County while
the specific objectives are to determine the influence of the availability of the recommended
reporting tools for HIV test kits, to examine the influence of human capacity on reporting
rates for HIV Test kits, to assess the influence of the availability of standard operating
procedures on reporting rates for HIV test kits and to determine the influence of
organizational factors on reporting rates for HIV test kits. The study embraced quantitative
research design where quantitative approach was used. The study target population was 270
Healthcare workers in Meru County to assess the role or the factors that affect the reporting
rates of HIV test kits. The study used purposive sampling technique to sample the
respondents that are Health care workers who are responsible for consolidating facility level
HIV test kits reports in Meru County. Therefore the sample size was 270 health care workers.
The study used semi structured questionnaires and data extraction sheet to collect the data.
Majority 153(, 61.2%) were familiar with the recommended data reporting tools (MOH 643)
(x2=101.76, p<0.05) slightly more than half of the Healthcare workers were regularly trained
in the recommended data reporting tools (MOH 643 tool) 145, (58.0%) (x2=6.4, p<0.05).
Approximately 101(40.4%) indicated that recommended data reporting tool(MOH 643) is
adequate in capturing the consumption data of the HIV test kits (x2=77.67, p<0.05). Most of
the respondents disagreed that there were enough staffs in the facility to fill the consumption
data of the HIV test kits. The respondents agreed to the statement that they were aware of
HIV test kits policies that are in place and the agreed that the policies were helpful at their
work. The respondents agreed that they had a supervisor whom they report to in the course of
their work and that their supervisor was not always available for consultation. There was
strong positive relationship that was significant (p<0.05) between reporting rates and
availability of the recommended reporting tools (rho=.693, p<0.05) while a strong positive
relationship existed between reporting rates and availability of standard operating procedures
(rho=.814, p<0.05) and a strong positive relationship between the reporting rates and human
capacity (rho=.896, p<0.05) and support supervision (rho=-.407, p<0.05) and thus presence
of enough staff, availability of standard operating procedures, supportive supervision all
affects reporting rates for HIV test kits. The coefficient of determination obtained from the
model was .663 and this indicated that the regression model explained only 66.3% of the
factors that explained reporting rates on consumption data of HIV test kits in the county. In
conclusion, recommended data reporting tools to capture HIV consumption data were
inadequate. Inadequate training among health care workers, SOPS and guidelines were not
well displayed at service delivery points and support supervisions by county and sub county
team were not adequate. The study recommended capacity building among health care on
reporting tools for HIV test kits, avail adequate commodity reporting tools for HIV test kits,
Standard operating procedures to be displayed in service delivery points and there is a need
for county/sub county team to conduct regular support supervision to facilities. | en_US |
